Most Relevant Information
Provider Data
| NPI Number: | 1003334178 |
| Provider Name: | JENNIFER LYNN WITTE SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 5156 |
Most Important Dates
| Enumeration Date: | 09/08/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
433 W HIGH ST
BRYAN
OH
435061690
Practice Location Phone/Fax
| Phone: | 4196361131 |
| Fax: | 4196302185 |
Provider Mailing Location
433 W HIGH ST
BRYAN
OH
435061690
Provider Mailing Phone/Fax
| Phone: | 4196361131 |
| Fax: | 4196302185 |